HomeMy WebLinkAboutBuilding Permit # 2/16/2017 BUILDING PERMIT of NoDr
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION '--
Permit No#: c,-), Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this age
..........J
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building 5One family
11 Addition 0 Two or more family 0 Industrial
RAlteration No. of units: 0 Commercial
El Repair, replacement EJ Assessory Bldg 11 Others:
11 Demolition 0 Other
EJ'Septic op,p ain E)Wetlands E! Wa" ers e, lct
U WaLer_5 wpr 4, ........
DESCRIPTION OF WORK TO BE PERFORMED:
Replae6wet o1
ell
Identification- Please Type or Print Clearly'
OWNER: Name: Phone:
Address: V,'A)G kc6-V A,�69V-k AiLAW',�& A_?,q
0,04trab-t4 Name,-, A- P nei— �e �'
Address
Supervisor's Gv&igtru6tion License,. .. Exp. Date:
Lom,0 t,0.VeMerit'License-:
�.LM-T-01m,071
ARCHITECT/ENGINEER A)ZA Phone:
Address:
Rea. No.
FEE SCHEDULE.BULDING PERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F.
,rota[ Project Cost: $ d —FEE: $
7
Check No.: (P 6 Receipt No,:
Personas contracting it.1 unregistered contractors do no ave:accessto the gtiarantyfund
e 1 0"' signatqr o - on",if�iblto'r
R1 V an_ff
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own of _ ove r
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SRA EID PQ�' �c5
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BOARD OF 14EALTH
Food/Kitchen
P IT T Septic System
THIS CERTIFIES THAT .. 0m. .. .�.... ... 1. !. ...��, 11t ..,, BUILDING INSPECTOR
.. Foundation
has permission to erect .... buildings on .. % T-o9vii!� •
.�. i•• 6avwa....4�.!":!Y��J. Rough
t0 be QCCupied a5 ..... ...,.. ............................................. Chimney
provided that the person accepting is permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARough
Service
.....................................
.....................
F . Final
BUILDING INSPECTOR
GAS INSPECTOR
OccupancyPermit REquired t® Occupy Bu Rough
Display in a Conspicuous Place on the Premises - Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Renewal Agreement Document and Payment Terms
byAndersen. dba:Renewal by Andersen of Boston William and Julie Quinlan
s ♦♦j♦ Legal Name:Renewal by Andersen LLC 28 Irving Rd
♦jam♦♦ HIC#770810 North Andover,MA 01845
wiMoow ns uorMeer 30 Forbes Road I Northborough,MA 01532 H:(978)821-4261
Phone:508-351-22001 Fax:(508)986-7072 1 RbABostonOperations@AndersenCorp.com C:(978)682-8237
Customer(s)Name: William Quinlan and Julie Quin)an Contract Date: 02/04/17
Customer(s) StrectAddress: 28 Irving Rd, North Andover, MA 01845
Primary Telephone Number, (978)821-4261 Secondary Telephone Number: (978)682-8237
Primary Email: wjg42@CDmcast.net Secondary Email:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by
Andersen of Boston("Contractor"), in accordance with the terms and conditions described in this Agreement Document and Payment
Terms,Notice of Cancellation, Itemized Order Receipt,Image,Warranty,Sales Cost Savings,MA Addendum,Terms and Conditions of
Sale,Waiver, Owner or Builder, Electronic Consent,and any other document attached to this Agreement Document,the terms of which
are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a
completion certificate after Contractor has completed all work under this Agreement.
Total Job Amount: $7,S22 Bysigning this agreement,you acknowledge that the Balance Due,and the Amount
Financed must be made by personal check,bank check, credit card,or cash.
Deposit Received: $0
6
Balance Due: $7522 Estimated Start: Estimated Completion:
Amount Financed: $7.522 8-10 Weeks 1-2 days
u
9
q Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on
u the date in which we complete the technical measurements.The installation date that
Notes:GS 2521 12 MONTN NO NO we are providing at this time is only an estimate.We will communicate an official date
INTEREST NO PAY and time at a later date. Rain and extreme weather are the most common causes for
delay.
Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understanding changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid
without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this
Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including
the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this
Agreement.
NOTICE TO OWNER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign.
YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT
OF 02/08/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,
WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.
Legal Name:Renewal by Andersen LLC Customer(s)
dba:Renew b An ee c(Jn olf Boston
ak��" �C
Signature of Sales Person Signature Signature
Steve Dana William Quinlan Julie Quinlan
Print Name of Sales Person Print Name Print Name
02/04/17 Page 2 / 19
Renewal Itemized Order Receipt
Andersen. dba:Renewal by Andersen of Boston William and Julie Quinian
Legal Name:Renewal by Andersen LLC 28 Irving Rd
HFC#170810 North Andover,MA 01845
WINDOW RE LAaEMENt' 30 Forbes Road I Northborough,MA 01532 C:(978)821-4261
Phone:508-351-2200 1 Fax:(508)986-7072 i RbABostonOperationsDAndersenCorp.com C:(978)682-8237
101 Living Misc: 22 Deg Bay tie to soffit casement flankers FW center
1:2:1, White/White pre finished interior white exterior white
hardware tru scene screens
WINDOWS:0 PATIO DOORS:0 SPECIALTY:0 MISC: 1 TOTAL $7,522
UPDATED: 02/04/17
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Renewal by Andersen is committed to our customerr'safety by
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complyingwith the rules and lead-sae work raetices specified b the EPA.
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02/04/17 Page 4 1 19
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ANDECOR-01 DUBEAA
AC[7/?L7� DATE(rAMIDDIYYYY}
CERTIFICATE OF LIABILITY INSURANCE 9/29/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORUED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
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IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be ondorsati. If SUBROGATION IS WAIVED,subject to
the tonins and conditions of the policy,certain policies may require an endorsement. A statement an this cartlflcate does not conlsr rights to the
certificate holder In lieu of such endonseme 8.
PRODUCER CNAre: Willis Towers Watson CertMeate Center
Willis of Minnesota Inc. PHONE 946-7378 No: 888)487-2378
$
clo 26 Century Blv LWA Me.
P.O.Box 305191 ADDAE :certiticateSQMills.com
Nashville,TN 3723MI91
INSURMS1 AFFORDI IG COVERAGE "Cf
INSURERA-Old Republic Insurance COM08ny 24147
INSURED INSURER O:
Renewal by Anderson LLC INBURERC:
104 Otis Street INSURER D:
Northborough,MA 01532 INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND)T10N OF ANY CONTRACTOR OINER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAW BEEN REDUCED BY PAID CLAIMS,
AML GUBR E TYPE OF INSURANCE' POLICYNOMSER MODNM (Wpm LIMITS
A X COMMERCIAL GaNERAL LIABILITY EACHOCCURRENCE $ 1,000,000
CtAIMS401ADE T OCCUR MWYY 308234 1010112016 1010112017 MMMEg M29MMKIM20 S 1500,00
NEINEXP(An oneI,erW S 10,00
PERSONAL&AW INJURY s 1,000,00
GENLAGGREGATELIMITAPPLIESPER GENERAL AGGREGATE S 4,000,00
X POLICY Q `O- ❑LOG PRODUCTS_-_COMPIDIDAGG s 4,000,000
OTHER: s
AVTOMOWLEMAHILITY COMBIN IN LIMIT $ 11,000,0
A X ANYAUTD MWTS 30$232 1010112016 1010112017 BODILY INJURY(Per peraan) $
AALLO"ED AC�LEO BODILY INJURY(Peraoridenq $
TOS HIREDAUTOS
NON-OWNED Pei TY DAMAGE S
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UMBRILLALMB OCCUR EACH OCCURRENCE S
EXCESS LIAS CLAIMS•MA)E AGGREGATE $
DIED RETENTIONS S
WORICERS COMPENSATION X PER
AND EMPWMRW LIABILITY E
ER
A ANY PRROPNETOWARTHEwaxl ctmvE Y r N WC30023100 10/0112016 10101!2017 FL.EACH ACCIDENT S 1,000,00
OFPICERIMUMEREXCLUDED? NIA
(Yarrdafpry In NH) E.L DISEASE•FA ELNW 1 S ,000,00
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S Prl N OF below E.L.DISEASE•POLICY LIMIT S 1,000,00
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DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Rarlurlu Schadule,may he atbohed if more Spate k mquIrad)
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Evidence of Insurance.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED PO1.ICIE8 BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
Town of North Andover AUTHORIZED REPRESENTAME
120 Maln Street
_ North Andover,MA 01845
j C 1988.2014 ACORD CORPORATION. All rights reserved.
I ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
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